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A client with a history of congestive heart failure is prescribed digoxin. Which finding requires immediate intervention?
- A. Heart rate of 55 beats per minute
- B. Blood pressure of 130/80 mmHg
- C. Respiratory rate of 18 breaths per minute
- D. Client reports fatigue
Correct Answer: A
Rationale: With digoxin in CHF, HR 55 needs action, not BP 130/80, RR 18, or fatigue. Digoxin slows HR below 60 risks toxicity, especially with fatigue. Others are stable. Leadership acts imagine dizziness; it prevents arrest, aligning with cardiac care effectively.
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Nonstress test in a 36-week pregnancy is reported as reactive. What does the nurse anticipate should be required?
- A. The test has to be repeated for 20 minutes more
- B. An oxytocin drip will be initiated and the test repeated
- C. Reassurance can be offered
- D. The client has to be prepared for C-section
Correct Answer: C
Rationale: A reactive NST at 36 weeks means reassurance, not repeat testing, oxytocin, or C-section. Fetal heart accelerations show well-being no intervention needed, unlike nonreactive results. Leadership expects this imagine calm parents; it aligns with obstetric care effectively. This reflects nursing's role in fetal monitoring.
A client with a history of gastroesophageal reflux disease is prescribed pantoprazole. Which instruction should the nurse include?
- A. Take the medication before meals
- B. Take it only when heartburn occurs
- C. Increase intake of spicy foods
- D. Stop the medication once symptoms improve
Correct Answer: A
Rationale: For pantoprazole in GERD, take before meals, not PRN, spicy, or stop. PPIs block acid pre-meal PRN's ineffective, spices worsen, stopping risks rebound. Leadership teaches this imagine relief; it ensures efficacy, aligning with GI care effectively.
Which of the following is true about functional nursing?
- A. Concentrates on tasks and activities
- B. Emphasizes the use of group collaboration
- C. One-to-one nurse-patient ratio
- D. Provides continuous, coordinated, and comprehensive nursing services
Correct Answer: A
Rationale: Functional nursing, as Henry's team might assess, focuses on tasks e.g., one nurse medicates, another bathes unlike collaboration (Team), one-to-one (Primary), or comprehensive care (Primary). Efficient for high volumes, it risks missing holistic needs, possibly contributing to low satisfaction in Henry's unit. A nurse might excel at IVs but overlook patient fears, fragmenting care. Leadership here involves weighing this efficiency against patient-centered goals, guiding Henry to adapt systems that balance workload and empathy for better unit outcomes.
Which of the following statements concerning the rational and emotional aspects of leadership is false?
- A. Leaders can use rational techniques and/or emotional appeals in order to influence followers
- B. Leadership includes actions and influences based only on reason and logic
- C. Aroused feelings can be used either positively or negatively
- D. Good leadership involves touching others' feelings
Correct Answer: B
Rationale: Leadership isn't limited to reason and logic B is false. Nurse leaders blend rational scheduling with emotional motivation, like rallying staff during a crisis, contrasting with purely logical approaches. Effective leadership in healthcare requires touching emotions to inspire trust and action, not just issuing directives. This duality drives patient care and team cohesion, aligning leadership with both mind and heart.
In collective bargaining, the term 'fringe benefit' refers to:
- A. Health insurance
- B. Salary increases
- C. Shift differential
- D. Base salary
Correct Answer: A
Rationale: Fringe benefits in collective bargaining are perks beyond base salary, like health insurance, retirement plans, or paid leave non-wage compensations enhancing the employment package. Here, health insurance fits as a standard fringe benefit, vital in healthcare negotiations where staff value security amid demanding roles. Salary increases and base salary are direct pay, not fringes, while shift differential, though a pay adjustment, isn't typically classified as a fringe. Unions often prioritize these benefits to attract and retain nurses, reflecting their role in addressing broader worker needs beyond hourly rates.